License holder summary

JAMES JERRY SULLIVAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAMES JERRY SULLIVAN is R R #1 BOX 57, THORNTOWN IN 46071. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

JAMES JERRY SULLIVAN
Controlled Substance Registration - Physician
License number
01016825B
Date granted
01/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R #1 BOX 57, THORNTOWN IN 46071
indianalicensing.org
ID 5927053
LAST UPDATED 2024-04-20 12:41:53 UTC

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